Michael Rotenberg, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

H9416 Issued in TX

Practice address

2415 San Felipe St Unit 3
Houston, TX 77019-2509

Phone

(409) 225-1458

Fax

(409) 724-0371

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christus Health Southeast Texas

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1427370477
  Medicare reassignment NPD
• Christus Health Southeast Texas

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  NPD
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1871570705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23238",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777203238",
            "telephone_number": "409-225-1458",
            "fax_number": "409-724-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SAN FELIPE ST UNIT 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770192509",
            "telephone_number": "409-225-1458",
            "fax_number": "409-724-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTENBERG",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H9416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148405 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Corinne Roszak, FNP-C
• Rotary Health Care
• Shelley Fang Rote, MD
• Jewel Rotella, CRNP
• Joshua S Rotenberg, MD
• Roth Drug Company
• Cullen Johnson Roth, RSPS, MHPS, PSS
• David R. Roth, MD
• Elise Roth
• Forrest Sussman Roth, M.D.

• Cardiovascular Disease Physician in Houston, TX
• Providers in Houston, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.